Individual provider Active NPI

J'Lyn Alexis Martinez

  • Behavior Technician
  • Colorado Springs, CO
National Provider Identifier
1417579996
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-121616
Practice address
13931 Sierra Star CT
Colorado Springs, CO 80921-2976
Phone
(719) 283-1406
Fax
(719) 249-5834
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-121616 Primary

Addresses

Primary practice location

13931 Sierra Star CT
Colorado Springs, CO 80921-2976

Mailing address

13931 Sierra Star CT
Colorado Springs, CO 80921-2976
Phone (719) 283-1406

Other practice location 1

12665 Falcon Drive
Colorado Springs, CO 80908-3219
Phone (719) 283-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Pediatric Therapy, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1417579996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13931 SIERRA STAR CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212976",
            "telephone_number": "719-283-1406",
            "fax_number": "719-249-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13931 SIERRA STAR CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212976",
            "telephone_number": "719-283-1406",
            "fax_number": "719-249-5834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12665 Falcon Drive",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809083219",
            "country_code": "US",
            "telephone_number": "719-283-1406",
            "fax_number": "719-249-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "J'LYN",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-20-121616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.